避免/限制性食物摄入障碍的患病率在患有胃和功能性消化不良的儿童中很高
Isha Kaul1,2,3, Helen Burton-Murray4,5, Salma Musaad1,2
1Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.
Neurogastroenterology and motility
|March 8, 2024
概括
避免/限制性食物摄入障碍 (ARFID) 在患有胃 (Gp) 和功能性消化不良 (FD) 的儿童中非常普遍,持续至少两个月. 建议在这些儿科群体中对ARFID进行查.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 儿童精神病学 儿童精神病学
- 饮食障碍 饮食障碍 饮食障碍 饮食障碍
背景情况:
- 在患有胃 (Gp) 和/或功能性消化不良 (FD) 的儿童中,避免/限制性食物摄入障碍 (ARFID) 的患病率尚未得到充分确立.
- 了解ARFID患病率及其在这些儿科群体中的发展轨迹对于适当的诊断和管理至关重要.
研究的目的:
- 确定与健康儿童 (HC) 相比,Gp和FD儿童的ARFID患病率和2个月的发展轨迹.
- 调查ARFID查结果与胃功能的客观测量 (延迟胃排空,异常的胃功能住宿) 之间的关联.
主要方法:
- 一项前性纵向研究,涉及10-17岁的儿童被诊断患有Gp或FD,年龄/性别匹配的HC.
- 使用了两个经过验证的ARFID查工具:九项ARFID查 (NIAS) 和Pica,ARFID和食障碍面试-ARFID问卷 (PARDI-AR-Q) 在基线和2个月后续.
- 胃排空扫描仪用于评估GP和FD患者的胃保留和功能性住宿.
主要成果:
- 在基线,ARFID查阳性在患有Gp (48.5%NIAS,63.6%PARDI-AR-Q) 和FD (66.7%NIAS,65.2%PARDI-AR-Q) 的儿童中明显高于HC (15.3%NIAS,9.7%PARDI-AR-Q).
- 在最初阳性的人中,很大一部分在2个月后仍然是ARFID阳性 (71.9% NIAS,53.3% PARDI-AR-Q).
- 没有发现阳性ARFID查和晚期胃保留或Gp或FD的儿童异常的fundic住宿的存在之间的显著关系.
结论:
- 根据查问卷显示,ARFID在患有Gp和FD的儿童中非常普遍.
- 这些儿童的很大一部分在2个月的随访后继续对ARFID呈阳性查.
- 对于被诊断患有Gp或FD的儿童,建议对ARFID进行例行查.
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